RS Services
Website Design
www.rsservices.com		 ORDER FORM Design Package One RS Services
Phone Number
(615) 474-0162
PRINT OR WRITE DOWN THE INFORMATION
Information about You:
Name: __________________________
Address: ________________________
State: _________Zip Code: _________
E-mail:__________________________		 Phone:__________________________
City: ___________________________
Fax:____________________________
Web: ___________________________
 
Start My Design Package One - Cost $250.00

or

Design Package One with Hosting - Cost $390.00
 
Please include the following:
Content (text) and images to be used on your website should be e-mailed to, in one of the following formats: MS Word, WordPad or Notepad (not ALL CAPS) and a list of possible Domain names if available 1st._________________, 2nd._________________ or 3rd._________________ choice, or Mail them to us on a 3.5" floppy, or CD.
Your Name, Artist or Business Name:________________ CD, Cassette, Products or Photos of Products. Bio, Links, Photos, Events list and/or other material you want on your website. If music a list of songs samples to play, songs will be 30 sec: to 1 min: song clips unless full songs are requested.

Please attach all contact information you want listed on your web site.
 
Signature: ___________________ Date: _______________

PAYMENT METHOD: PAYPAL, PERSONAL CHECKS OR MONEY ORDERS
MAKE CHECKS OR M.O. PAYABLE TO: Roy Skropits

MAIL TO:
Roy Skropits
c/o Design Package 1
P.O. Box 1812
Madison, TN. 37116-1812

THANK YOU FOR YOUR BUSINESS